{
  "resourceType" : "ValueSet",
  "id" : "R5-v3-CaseTransmissionMode-for-R4B",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-v3-CaseTransmissionMode-for-R4B</b></p><a name=\"R5-v3-CaseTransmissionMode-for-R4B\"> </a><a name=\"hcR5-v3-CaseTransmissionMode-for-R4B\"> </a><p>This value set expansion contains 20 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-AIRTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-AIRTRNS\">AIRTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>airborne transmission</td><td><div><p>Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-ANANTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ANANTRNS\">ANANTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>animal to animal transmission</td><td><div><p>Communication of an agent from one animal to another proximate animal.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-ANHUMTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ANHUMTRNS\">ANHUMTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>animal to human transmission</td><td><div><p>Communication of an agent from an animal to a proximate person.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-BDYFLDTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-BDYFLDTRNS\">BDYFLDTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>body fluid contact transmission</td><td><div><p>Communication of an agent from one living subject to another living subject through direct contact with any body fluid.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-BLDTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-BLDTRNS\">BLDTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>blood borne transmission</td><td><div><p>Communication of an agent to a living subject through direct contact with blood or blood products whether the contact with blood is part of a therapeutic procedure or not.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-DERMTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-DERMTRNS\">DERMTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>transdermal transmission</td><td><div><p>Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-ENVTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ENVTRNS\">ENVTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>environmental exposure transmission</td><td><div><p>Communication of an agent from an environmental surface or source to a living subject by direct contact.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-FECTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-FECTRNS\">FECTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>fecal-oral transmission</td><td><div><p>Communication of an agent from a living subject or environmental source to a living subject through oral contact with material contaminated by person or animal fecal material.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-FOMTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-FOMTRNS\">FOMTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>fomite transmission</td><td><div><p>Communication of an agent from an non-living material to a living subject through direct contact.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-FOODTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-FOODTRNS\">FOODTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>food-borne transmission</td><td><div><p>Communication of an agent from a food source to a living subject via oral consumption.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-HUMHUMTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-HUMHUMTRNS\">HUMHUMTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>human to human transmission</td><td><div><p>Communication of an agent from a person to a proximate person.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-INDTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-INDTRNS\">INDTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>indeterminate disease transmission mode</td><td><div><p>Communication of an agent to a living subject via an undetermined route.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-LACTTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-LACTTRNS\">LACTTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>lactation transmission</td><td><div><p>Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-NOSTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NOSTRNS\">NOSTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>nosocomial transmission</td><td><div><p>Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-PARTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PARTRNS\">PARTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>parenteral transmission</td><td><div><p>Communication of an agent from a living subject or environmental source to a living subject where the acquisition of the agent is not via the alimentary canal.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-PLACTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PLACTRNS\">PLACTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>transplacental transmission</td><td><div><p>Communication of an agent from a living subject to the progeny of that living subject via agent migration across the maternal-fetal placental membranes while in utero.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-SEXTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SEXTRNS\">SEXTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>sexual transmission</td><td><div><p>Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-TRNSFTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-TRNSFTRNS\">TRNSFTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>transfusion transmission</td><td><div><p>Communication of an agent from one living subject to another living subject through direct contact with blood or blood products where the contact with blood is part of a therapeutic procedure.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-VECTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-VECTRNS\">VECTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>vector-borne transmission</td><td><div><p>Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-CaseTransmissionMode-for-R4B-http://terminology.hl7.org/CodeSystem/v3-ActCode-WATTRNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-WATTRNS\">WATTRNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>water-borne transmission</td><td><div><p>Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not. The route of entry of the water may be through any bodily orifice.</p>\n</div></td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fhir"
  },
  {
    "extension" : [{
      "url" : "packageId",
      "valueId" : "hl7.fhir.uv.xver-r5.r4b"
    },
    {
      "url" : "version",
      "valueString" : "0.0.1-snapshot-2"
    }],
    "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/5.0/ValueSet/R5-v3-CaseTransmissionMode-for-R4B",
  "version" : "0.0.1-snapshot-2",
  "name" : "R5_v3_CaseTransmissionMode_for_R4B",
  "title" : "Cross-version VS for R5.CaseTransmissionMode for use in FHIR R4B",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-09-01T22:37:05.071061+10:00",
  "publisher" : "FHIR Infrastructure",
  "contact" : [{
    "name" : "FHIR Infrastructure",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fiwg"
    }]
  }],
  "description" : "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-CaseTransmissionMode|2.0.0 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4B.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "compose" : {
    "include" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "concept" : [{
        "code" : "AIRTRNS",
        "display" : "airborne transmission"
      },
      {
        "code" : "ANANTRNS",
        "display" : "animal to animal transmission"
      },
      {
        "code" : "ANHUMTRNS",
        "display" : "animal to human transmission"
      },
      {
        "code" : "BDYFLDTRNS",
        "display" : "body fluid contact transmission"
      },
      {
        "code" : "BLDTRNS",
        "display" : "blood borne transmission"
      },
      {
        "code" : "DERMTRNS",
        "display" : "transdermal transmission"
      },
      {
        "code" : "ENVTRNS",
        "display" : "environmental exposure transmission"
      },
      {
        "code" : "FECTRNS",
        "display" : "fecal-oral transmission"
      },
      {
        "code" : "FOMTRNS",
        "display" : "fomite transmission"
      },
      {
        "code" : "FOODTRNS",
        "display" : "food-borne transmission"
      },
      {
        "code" : "HUMHUMTRNS",
        "display" : "human to human transmission"
      },
      {
        "code" : "INDTRNS",
        "display" : "indeterminate disease transmission mode"
      },
      {
        "code" : "LACTTRNS",
        "display" : "lactation transmission"
      },
      {
        "code" : "NOSTRNS",
        "display" : "nosocomial transmission"
      },
      {
        "code" : "PARTRNS",
        "display" : "parenteral transmission"
      },
      {
        "code" : "PLACTRNS",
        "display" : "transplacental transmission"
      },
      {
        "code" : "SEXTRNS",
        "display" : "sexual transmission"
      },
      {
        "code" : "TRNSFTRNS",
        "display" : "transfusion transmission"
      },
      {
        "code" : "VECTRNS",
        "display" : "vector-borne transmission"
      },
      {
        "code" : "WATTRNS",
        "display" : "water-borne transmission"
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2025-09-01T22:37:05.071061+10:00",
    "contains" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "AIRTRNS",
      "display" : "airborne transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "ANANTRNS",
      "display" : "animal to animal transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "ANHUMTRNS",
      "display" : "animal to human transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "BDYFLDTRNS",
      "display" : "body fluid contact transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "BLDTRNS",
      "display" : "blood borne transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "DERMTRNS",
      "display" : "transdermal transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "ENVTRNS",
      "display" : "environmental exposure transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "FECTRNS",
      "display" : "fecal-oral transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "FOMTRNS",
      "display" : "fomite transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "FOODTRNS",
      "display" : "food-borne transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "HUMHUMTRNS",
      "display" : "human to human transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "INDTRNS",
      "display" : "indeterminate disease transmission mode"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "LACTTRNS",
      "display" : "lactation transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "NOSTRNS",
      "display" : "nosocomial transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "PARTRNS",
      "display" : "parenteral transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "PLACTRNS",
      "display" : "transplacental transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "SEXTRNS",
      "display" : "sexual transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "TRNSFTRNS",
      "display" : "transfusion transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "VECTRNS",
      "display" : "vector-borne transmission"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "version" : "8.0.0",
      "code" : "WATTRNS",
      "display" : "water-borne transmission"
    }]
  }
}